A nurse is caring for a client who was recently diagnosed with Hyperemesis Gravidarum.
Which of the following medications should the nurse anticipate administering?
400 mg Motrin (ibuprofen) PO.
500 mL of 0.9% Sodium Chloride IV bolus.
4 g Magnesium Sulfate IV over 30 minutes.
50 mg Pyridoxine (vitamin B6) PO.
The Correct Answer is D
Choice A rationale
Ibuprofen is not recommended during pregnancy, especially in the later stages, as it can cause harm to the fetus and affect amniotic fluid levels.
Choice B rationale
While hydration is crucial for managing Hyperemesis Gravidarum, 0.9% Sodium Chloride alone won't address the underlying symptoms like nausea and vomiting effectively.
Choice C rationale
Magnesium Sulfate is typically used to prevent seizures in preeclampsia, not for Hyperemesis Gravidarum.
Choice D rationale
Pyridoxine (vitamin B6) is often recommended for Hyperemesis Gravidarum as it can help reduce nausea and vomiting.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Abdominal pain with no vaginal bleeding is not typically associated with placenta previa. This condition usually involves painless vaginal bleeding as the placenta covers or is near the cervix, not causing abdominal pain without bleeding.
Choice B rationale
Painless red vaginal bleeding is characteristic of placenta previa. The condition occurs when the placenta covers the cervix, leading to painless bleeding as the cervix begins to thin or dilate.
Choice C rationale
Sharp abdominal pain is not a common sign of placenta previa. This symptom is more indicative of conditions such as placental abruption, where the placenta detaches from the uterine wall.
Choice D rationale
Intermittent abdominal pain following the passage of bloody mucus is not typical of placenta previa. This pattern may suggest labor or other complications, not the classic presentation of painless bleeding seen in placenta previa.
Correct Answer is B
Explanation
Choice A rationale
Preeclampsia is concerning but the blood pressure of 138/82 mm Hg is not critically high at this moment. Preeclampsia is diagnosed by new-onset hypertension and proteinuria or significant end-organ dysfunction in the latter half of pregnancy. Immediate intervention isn't necessary unless symptoms worsen.
Choice B rationale
PPROM (Preterm Premature Rupture of Membranes) at 29 weeks gestation with a temperature of 39.1°C (102.3°F) suggests a possible infection which can be life-threatening for both the mother and the fetus. Prompt medical attention is critical to manage the infection and prevent sepsis.
Choice C rationale
Hyperemesis gravidarum, while uncomfortable and requiring intervention, is less immediately threatening compared to a severe infection. It involves excessive vomiting leading to dehydration and weight loss but doesn't pose an acute threat as severe infection does.
Choice D rationale
Placenta previa with no vaginal bleeding for the last 12 hours indicates stability. However, any bleeding during pregnancy can be concerning and needs careful monitoring, but immediate intervention is not as crucial as for an infection.
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